Utilization Management Nurse - Nights/Weekends

At bServed UM, we’re transforming the way healthcare organizations manage utilization. Our mission is to improve patient outcomes while helping hospitals and providers reduce costs. We specialize in lowering denial rates, optimizing length of stay, and supporting Case Management teams across hospitals, IPAs, and insurance companies.

We're Hiring: Utilization Management Nurse REMOTE Job Type: Full-Time Department: Utilization Management The Role: We are seeking a dedicated Utilization Management Nurse to join our growing team. You’ll play a key role in reviewing the medical necessity and appropriateness of care using clinical guidelines and collaborating with providers and payers to ensure efficient, effective patient care.

Conduct prospective, concurrent, and retrospective reviews Apply InterQual criteria to support UM decisions Collaborate with providers and payers on authorizations and discharges Document and justify clinical decisions in compliance with regulations Support appeals, monitor high-cost cases, and promote cost-effective care